| Daphne L Favroth Md And Associates | |
|
551 N Plano Rd Richardson TX 75081-2940 | |
| (972) 669-8400 | |
| (972) 235-0033 |
| Full Name | Daphne L Favroth Md And Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 551 N Plano Rd, Richardson, Texas |
| Authorized Official Name and Position | Daphne Louise Favroth (OWNER) |
| Authorized Official Contact | 9726698400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daphne L Favroth Md And Associates 551 N Plano Rd Richardson TX 75081-2940 Ph: (972) 669-8400 | Daphne L Favroth Md And Associates 551 N Plano Rd Richardson TX 75081-2940 Ph: (972) 669-8400 |
| NPI Number | 1659577138 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 03/17/2014 |
| Medicare PECOS PAC ID | 4284668435 |
|---|---|
| Medicare Enrollment ID | O20050927000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659577138 | NPI | - | NPPES |
| 179396001 | Medicaid | TX |
| Provider Name | Daphne L Favroth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982600763 PECOS PAC ID: 8224067699 Enrollment ID: I20050805000394 |
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